Provider Demographics
NPI:1902142458
Name:WAY, HALEY D (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:D
Last Name:WAY
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16806 GOODFIELD CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-9421
Mailing Address - Country:US
Mailing Address - Phone:832-592-7438
Mailing Address - Fax:281-373-5202
Practice Address - Street 1:17510 HUFFMEISTER RD STE 105
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6785
Practice Address - Country:US
Practice Address - Phone:832-592-7438
Practice Address - Fax:281-373-5202
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65621101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional